MEDICARE: DR. REENA JABAMONI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician	36046446	IL

General Provider Information

NPI Number	:	1144294281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REENA JABAMONI MD

Provider Business Mailing Address
First Line	:	1585 BARRINGTON RD
Second Line	:	SUITE 401
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-1090
Country	:	US
Telephone Number	:	847-843-7090
Fax Number	:	847-843-0584

Provider Business Practice Location Address
First Line	:	1585 BARRINGTON RD
Second Line	:	SUITE 401
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-1090
Country	:	US
Telephone Number	:	847-843-7090
Fax Number	:	847-843-0584

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	09/14/2007

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